| Miami Oral Facial Surgery Pa | |
|
1155 Brickell Bay Dr Apt 1103 Miami FL 33131-2998 | |
| (305) 804-9074 | |
| Not Available |
| Full Name | Miami Oral Facial Surgery Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1155 Brickell Bay Dr Apt 1103, Miami, Florida |
| Authorized Official Name and Position | Teresa Lozano (PRESIDENT) |
| Authorized Official Contact | 3058049074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Oral Facial Surgery Pa 1155 Brickell Bay Dr Apt 1103 Miami FL 33131-2998 Ph: (305) 804-9074 | Miami Oral Facial Surgery Pa 1155 Brickell Bay Dr Apt 1103 Miami FL 33131-2998 Ph: (305) 804-9074 |
| NPI Number | 1235444191 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235444191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN17503 (Florida) | Primary |
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